| NPI | 1720623598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12298) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043839) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2024-05-07 |